Tele-rehabilitación cardiaca en tiempos de pandemia. Experiencia en el Instituto Nacional Cardiovascular-INCOR

Jessica Espinoza Pérez; Rosalía Ofelia Fernández Coronado; Adriel Olórtegui Yzú; Julia Amalia Fernández Coronado; Yolanda Rocío Palomino Vilchez; Marco Antonio Heredia Ñahui; Renzo Eduardo Soca Meza; Hanna Silva Valenzuela

doi:10.47487/apcyccv.v4i1.281

Authors

Jessica Espinoza Pérez Unidad Funcional Rehabilitación Cardíaca, Instituto Nacional Cardiovascular INCOR. EsSalud, Lima, Peru. https://orcid.org/0000-0001-6208-0606
Rosalía Ofelia Fernández Coronado Dirección de Docencia e Investigación, Instituto Nacional Cardiovascular INCOR, EsSalud, Lima, Peru. https://orcid.org/0000-0002-5127-9318
Adriel Olórtegui Yzú Dirección de Docencia e Investigación, Instituto Nacional Cardiovascular INCOR, EsSalud, Lima Peru https://orcid.org/0000-0002-3455-4242
Julia Amalia Fernández Coronado Unidad Funcional Rehabilitación Cardíaca, Instituto Nacional Cardiovascular INCOR. EsSalud, Lima, Peru. https://orcid.org/0000-0003-3078-5833
Yolanda Rocío Palomino Vilchez Unidad Funcional Rehabilitación Cardíaca, Instituto Nacional Cardiovascular INCOR. EsSalud, Lima, Peru. https://orcid.org/0000-0002-5417-8635
Marco Antonio Heredia Ñahui Unidad Funcional Rehabilitación Cardíaca, Instituto Nacional Cardiovascular INCOR. EsSalud, Lima, Peru. https://orcid.org/0000-0003-0762-9648
Renzo Eduardo Soca Meza Unidad Funcional Rehabilitación Cardíaca, Instituto Nacional Cardiovascular INCOR. EsSalud, Lima, Peru. https://orcid.org/0000-0002-1018-6764
Hanna Silva Valenzuela Unidad Funcional Rehabilitación Cardíaca, Instituto Nacional Cardiovascular INCOR. EsSalud, Lima, Peru. https://orcid.org/0000-0001-9212-0971

DOI:

https://doi.org/10.47487/apcyccv.v4i1.281

Keywords:

Cardiac Rehabilitation, Coronavirus Infections, Telemedicine, Cardiovascular Diseases

Abstract

Objective. Cardiac Rehabilitation (CR) programs based on telehealth are an alternative in the context of a pandemic and represent an opportunity to continue in the intervention of cardiovascular diseases (CVD). The present study aims to evaluate the effect of a Cardiac Tele-Rehabilitation (CTR) program on quality of life, anxiety/depression index, exercise safety and Level Of disease awareness in patients discharged from a national referral institute in times of pandemic. Methods. A pre-experimental study in cardiac patients who entered the cardiac rehabilitation program at INCOR from August to December 2020. The study included low-risk patients who were administered a questionnaire (on cardiovascular disease, exercise safety, anxiety/depression, and quality of life) at the beginning and end of the program, which was applied through a virtual platform. Descriptive and comparative before-after analysis was used through hypothesis testing. Results. Sixty-four patients were included (71.9% male). The mean age was 63.6 ±11.1 years. Regarding exercise safety, an increase in the mean score was found after the application of the program (3.06 ± 0.8 to 3.18 ± 0.7, p=0.324). Concerning anxiety, the mean score was reduced from 8.61 to 4.75, while for depression, the reduction was from 7.27 to 2.92. Regarding the quality-of-life score, the global component improved from 111.48 to 127.92. Conclusions. The CTR program implemented through a virtual platform during the COVID-19 pandemic enhanced quality of life and decreased stress and depression in cardiac patients discharged from a national cardiovascular referral center.

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